Kimberly Kay Romen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-11894 Issued in AZ

Practice address

1801 S Jentilly LN Ste A18
Suite a-18
Tempe, AZ 85281-5762

Phone

(480) 277-0049

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Kimberly Kay Hickman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1184823296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 E SUNRISE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441005",
            "telephone_number": "480-277-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S JENTILLY LN STE A18",
            "address_2": "SUITE A-18",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815762",
            "telephone_number": "480-277-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEN",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HICKMAN",
            "middle_name": "KAY",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devin Rollender, DO
• Alysia Rollins, PHARMD
• Ebony Simone Rollins, ND
• Helene M Rollins, MSW, LCSW
• Mark Rolwes, DPT
• Carlos Romero
• Gauge Romine, LPC
• Maria Denise Romine, AU.D.
• Fernie Romo, MS, BCBA, LBA
• Patricia Gail Romo, CNM

• Clinical Social Worker in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.